Individual
ALEJANDRO DAVIDENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1343 W MAIN ST, A&B, MERCED, CA 95340-4438
(209) 725-1060
Mailing address
621 14TH ST, A&B, MODESTO, CA 95354-2504
(209) 529-8519
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
02/28/2014
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